Does hysterectomy require surgery?

Whether hysterectomy requires surgery depends on the surgical method, which mainly includes open surgery and minimally invasive surgery.

Laparotomy is a traditional surgical method that requires a large incision in the abdomen through which the doctor removes the uterus. This surgical method is suitable for patients with large uterus, severe adhesions, or other pelvic diseases. Laparotomy has a clearer field of view and a larger operating space, but the postoperative recovery time is longer, the incision pain is obvious, and the hospitalization time usually takes 5-7 days. Possible postoperative complications include incision infection, bleeding, and intestinal adhesions.

Minimally invasive surgeries include laparoscopic and transvaginal surgeries, which do not require large incisions in the abdomen. Laparoscopic surgery involves making several small holes in the abdomen and inserting a laparoscope and surgical instruments to remove the uterus. Transvaginal surgery is performed through the natural vaginal canal, with no incisions on the body surface. Minimally invasive surgery has less trauma and faster recovery. The hospitalization time is usually 2-3 days. The postoperative pain is mild and the probability of complications is low. However, minimally invasive surgery requires high technical skills from doctors and is not suitable for patients with an overly large uterus or severe pelvic adhesions.

After hysterectomy, you need to pay attention to rest and avoid strenuous exercise and heavy physical labor for 1-2 months. Keep the perineum clean, and prohibit bathing and sexual intercourse within 6 weeks after surgery. You should consume more high-protein and high-vitamin foods in your diet to promote wound healing. If you have fever, abnormal vaginal bleeding, or incision redness, swelling and exudation, you should seek medical attention promptly for review.